• A school nurse is teaching a parent about absent seizures. Which of thefollowing information should the nurse include?
A. “This type of seizure
... [Show More] can be mistaken for daydreaming.”
B. “This type of seizure lasts 30 to 60 seconds.”
C. “The child usually has an aura prior to onset.”
D. “This type of seizure has a gradual onset.”
• A nurse is planning care for a client who has cancer and is about to receive low dose brachytherapy via a vaginal implant applicator. Which ofthe following interventions should the nurse include in the plan of care?
A. Removal of vaginal packing
B. Insertion of an indwelling urinary catheter
C. Ambulation four times daily
D. Maintenance of NPO status until therapy is complete
• A nurse is caring for a client who wears glasses. Which of the followingactions should the nurse take?
E. Store the glasses in a labeled case.
F. Clean the glasses with hot water.
G. Clean the glasses with a paper towel.
H. Store the glasses on the bedside table.
• A nurse is teaching about preventative measures to a female client whohas chronic urinary tract infections. Which of the following interventions should the nurse include in the teaching?
A. “Drink 2 liters of warm water per day”.
B. “Empty your bladder every 6 weeks.”.
C. “Soak in a warm bath everyday”.
D. “Take an oral estrogen tablet”.
• A nurse is receiving change-of-shift report for a group of clients. Which ofthe following clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring
B. A client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lowerextremities
D. A client who has diabetes and a hemoglobin A1C of 6.8%
• A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?
A. Consume food high in bran fiber
B. Increase intake of milk products
C. Sweeten foods with fructose corn syrup
D. Increase foods high in gluten
• A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following actions should the nursetake?
A. the infant 30 ml (1 oz) glucose water every 2 hr.
B. Keep the infants head covered with a cap.
C. Ensure that the newborn wears a diaper.
D. Apply lotion to the newborn every 4 hr.
• a nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurseindicates an understanding of the teaching?
A. “(Unable to read) I feel to be in his best health care decision”
B. “I will intervene if there is conflict between a client and his provider”
C. “I should not advocate for a client unless he is able to ask me himself”
D. “I will inform a client that his family should help make his health caredecisions.”
• A nurse is preparing to reposition a client who had a stroke. Which of thefollowing actions should the nurse take?
A. Raise the side rails on both sides of the client’s bed duringrepositioning.
B. Reposition the client without assistive devices.
C. Discuss the client’s preferences for determining a reposition schedule.
D. Evaluate the client’s ability to help with repositioning.
• A
• A nurse is caring for an infant who has coaction of the aorta. Which of thefollowing should the nurse identify as an expected finding?
A. Weak femoral pulses
B. Frequent nosebleeds
C. Upper extremity hypotension
D. Increased intracranial pressure\
• a nurse is auscultating for crackles on a client who has pneumonia.Which of the following anterior chest wall locations should the nurse auscultate?
• A nurse is assisting with the development of an informed document for participation in a research study. Which of the following information shouldthe nurse include?
A. A statement that participants can leave the study at will.
B. An assignment of the participant to either the experimental or controlgroup.
C. A list of the clients participating in the study.
D. A description of the framework the researchers will use to evaluate thedata.
• A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic taste in mouth
• A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of the following should the nurse report to the provider?
A. The client’s pulse oximetry level is 96%.
B. (Unable to read)
C. The client develops hiccups.
D. The ECG shows pacing spikes after the QRS complex.
• A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following resources should the nurse provideto the client?
A. Personal blogs about managing the adverse effects of diabetesmedications
B. Food label recommendations from the Institute of Medicine
C. Diabetes medication information from the Physicians’ Desk Reference
D. Food exchange lists for meal planning from the American DiabetesAssociation
• A nurse is caring for a client who has deep vein thrombosis and is receiving heparin therapy. Which of the following tests should the nurse useto monitor and regulate the dosage of the medications?
A. aPTT.
B. Pyro (Unsure if that’s the writing)
C. Platelet count.
D. INR.
• A charge nurse is preparing to lead negotiations among nursing staffdue to conflict about overtime requirements. Which of the following strategies should the nurse use to promote effective negotiation?
A. Identify solutions prior to negotiation
B. Focus on how the conflict occurred
C. Attempts to understand both sides of the issue
D. Personalize the conflict
• A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as clinical staff. Which of the following instructions should the nurse include?
A. Use the client’s children to provide interpretation.
B. (Answer was the nurse was going to do the interpretation)
C. Offer client’s translation services for a nominal fee.
D. Evaluate the clients’ understanding at regular intervals.
• A nurse is caring for a client who experienced a traumatic brain injury72 hr. ago. Which of the following findings should the nurse identify as an indication of intercranial pressure?
A. Tachycardia.
B. Narrowed pulse pressure.
C. Hypotension.
D. Increasingly severe headache.
• A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actionsshould the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduleddefecation times.
• A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
• A nurse in an emergency department is assessing a client who reportsingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of thefollowing actions should the nurse do next.
A. Monitor the client’s IV site for thrombophlebitis.
B. Administer flumazenil to the client.
C. Evaluate the client for further suicidal behavior.
D. Initiate seizure precautions for the client. [Show Less]